{"component": "clause", "props": {"groups": [{"samples": [{"hash": "lpH8inZ40Qk", "uri": "/contracts/lpH8inZ40Qk#evidence-base", "label": "Contract Relating to the Provision of Emergency Hormonal Contraception in Pharmacies", "score": 22.53045859, "published": true}, {"hash": "6gfvaIY1Yv6", "uri": "/contracts/6gfvaIY1Yv6#evidence-base", "label": "Contract Relating to the Provision of Emergency Hormonal Contraception in Pharmacies", "score": 22.3552361396, "published": true}, {"hash": "1dqXbuv3Yai", "uri": "/contracts/1dqXbuv3Yai#evidence-base", "label": "Contract Relating to the Provision of Emergency Hormonal Contraception in Pharmacies", "score": 22.2977412731, "published": true}], "size": 4, "snippet": "There is strong evidence to support the use of EHCs to support women with pregnancy choices, reducing teenage pregnancy across Barnsley.", "snippet_links": [{"key": "strong-evidence", "type": "definition", "offset": [9, 24]}], "hash": "5842df46fd122cbf2d563e6de004c4fd", "id": 1}, {"samples": [{"hash": "1CEyzavnmcN", "uri": "/contracts/1CEyzavnmcN#evidence-base", "label": "Local Services Agreement", "score": 22.1457905544, "published": true}, {"hash": "bNlm3qGQoRL", "uri": "/contracts/bNlm3qGQoRL#evidence-base", "label": "Local Services Agreement", "score": 22.1238877481, "published": true}], "size": 2, "snippet": "The Department of Health proposed the NHS Health Check programme, based on the evidence and cost benefit presented in the Impact Assessment2 document. Modelling work3 undertaken by the Department of Health (DH) found that offering an NHS Health Check to people between the ages of 40 and 74 and recalling them every five years was both clinically and cost effective. Cardiovascular Disease, which includes heart disease, stroke, diabetes and kidney disease are the biggest causes of death in the UK. The national Health Checks programme could on average: \u2022 Prevent 1,600 heart attacks and strokes \u2022 Prevent at least 650 premature deaths \u2022 Identify over 4,000 new cases of diabetes each year. \u2022 Detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals to be better managed to improve their quality of life. NICE guidance is available for some of the components of the health check and on interventions in associated referral pathways following the health check e.g. physical activity and smoking cessation. Public Health England has produced a briefing outlining the evidence base supporting the mandated NHS Health Check programme4.", "snippet_links": [{"key": "department-of-health", "type": "definition", "offset": [4, 24]}, {"key": "based-on", "type": "clause", "offset": [66, 74]}, {"key": "the-evidence", "type": "clause", "offset": [75, 87]}, {"key": "by-the-department", "type": "clause", "offset": [178, 195]}, {"key": "every-five-years", "type": "clause", "offset": [310, 326]}, {"key": "cost-effective", "type": "clause", "offset": [351, 365]}, {"key": "cardiovascular-disease", "type": "definition", "offset": [367, 389]}, {"key": "heart-disease", "type": "clause", "offset": [406, 419]}, {"key": "the-national", "type": "clause", "offset": [500, 512]}, {"key": "health-checks", "type": "definition", "offset": [513, 526]}, {"key": "each-year", "type": "definition", "offset": [681, 690]}, {"key": "quality-of-life", "type": "clause", "offset": [821, 836]}, {"key": "following-the", "type": "definition", "offset": [965, 978]}, {"key": "physical-activity", "type": "clause", "offset": [997, 1014]}, {"key": "smoking-cessation", "type": "clause", "offset": [1019, 1036]}, {"key": "public-health-england", "type": "definition", "offset": [1038, 1059]}], "hash": "4bec92d055f8b61ce34be001b1fe4793", "id": 2}, {"samples": [{"hash": "1iTWPuKrcqT", "uri": "/contracts/1iTWPuKrcqT#evidence-base", "label": "Framework Partnership Agreement", "score": 32.2543338231, "published": true}, {"hash": "gfHQnYZ93Kc", "uri": "/contracts/gfHQnYZ93Kc#evidence-base", "label": "Framework Partnership Agreement", "score": 22.9726214921, "published": true}], "size": 2, "snippet": "The service will apply and/or support evidence-based practice and will be informed by national and local drivers for change for example: \u2022 Current DoH policy and guidelines, delivery of national key targets & NSF & NICE guidelines \u2022 CQC registration requirements \u2022 Gold Standards Framework and Liverpool Care Pathway for people at the end of life \u2022 Essence of Care \u2022 Infection Control Standards e.g. hand hygiene audits \u2022 Locality commissioning plans and locally agreed care pathways \u2022 The Devon Joint Strategic Plan and subsidiary action and operational plans \u2022 The integration of health and social care delivery in Devon through the continuing development of localities and clusters The commissioning specification is supported by the joint Health and Wellbeing Strategy 2013\u201316.", "snippet_links": [{"key": "the-service", "type": "clause", "offset": [0, 11]}, {"key": "drivers-for-change", "type": "clause", "offset": [105, 123]}, {"key": "for-example", "type": "definition", "offset": [124, 135]}, {"key": "policy-and-guidelines", "type": "clause", "offset": [151, 172]}, {"key": "delivery-of", "type": "clause", "offset": [174, 185]}, {"key": "nice-guidelines", "type": "clause", "offset": [215, 230]}, {"key": "registration-requirements", "type": "clause", "offset": [237, 262]}, {"key": "gold-standards", "type": "clause", "offset": [265, 279]}, {"key": "care-pathway", "type": "clause", "offset": [304, 316]}, {"key": "end-of-life", "type": "definition", "offset": [335, 346]}, {"key": "infection-control", "type": "definition", "offset": [367, 384]}, {"key": "hand-hygiene", "type": "definition", "offset": [400, 412]}, {"key": "plans-and", "type": "definition", "offset": [445, 454]}, {"key": "locally-agreed", "type": "clause", "offset": [455, 469]}, {"key": "strategic-plan", "type": "definition", "offset": [502, 516]}, {"key": "subsidiary-action", "type": "clause", "offset": [521, 538]}, {"key": "operational-plans", "type": "clause", "offset": [543, 560]}, {"key": "care-delivery", "type": "clause", "offset": [600, 613]}, {"key": "development-of", "type": "clause", "offset": [646, 660]}, {"key": "the-commissioning", "type": "definition", "offset": [685, 702]}, {"key": "the-joint", "type": "definition", "offset": [733, 742]}, {"key": "health-and-wellbeing-strategy", "type": "clause", "offset": [743, 772]}], "hash": "770f4b839f9252ad0f5143ec466ceec0", "id": 3}, {"samples": [{"hash": "1Xf8qBzrT9f", "uri": "/contracts/1Xf8qBzrT9f#evidence-base", "label": "Delivery Agreement", "score": 26.7641901584, "published": true}], "size": 2, "snippet": "1.7.1. With the production of a Revised LDP, there will be a corresponding need to update or renew a number of studies/documents contained within the current LDP evidence base, which underpins the plan. In line with previous AMRs, all contextual, policy and legislative changes that have occurred since the adoption of the LDP will also need to be given due consideration, as part of the evidence base updates. The list below illustrates those evidence base documents that are likely to be required, as part of the LDP full revisions process: \u2022 Population Data and Housing Forecasts \u2022 Local Housing Market Assessment (LHMA) \u2022 Gypsy and Traveller Accommodation Needs Assessment \u2022 Urban Capacity Study \u2022 Settlement Boundary Review \u2022 Sustainable Settlement Hierarchy \u2022 Employment Land Review \u2022 Retail Study Update \u2022 Green Infrastructure Assessment \u2022 Assessment of Environmental Constraints \u2022 Public Open Space Assessment \u2022 Renewable Energy Assessment \u2022 Transport Assessment \u2022 Landscape\n1.7.2. The list is not definitive nor exhaustive, as the need for additional evidence may present itself throughout the plan-making process.\n1.7.3. Given that a number of local authorities within South East Wales are currently progressing Revised plans, the Council will endeavour to explore possibilities for the joint commissioning of evidence base documents.", "snippet_links": [{"key": "production-of-a", "type": "clause", "offset": [16, 31]}, {"key": "number-of", "type": "clause", "offset": [101, 110]}, {"key": "the-current", "type": "clause", "offset": [146, 157]}, {"key": "the-plan", "type": "clause", "offset": [193, 201]}, {"key": "legislative-changes", "type": "clause", "offset": [258, 277]}, {"key": "adoption-of-the", "type": "clause", "offset": [307, 322]}, {"key": "due-consideration", "type": "clause", "offset": [354, 371]}, {"key": "the-evidence", "type": "clause", "offset": [384, 396]}, {"key": "population-data", "type": "definition", "offset": [545, 560]}, {"key": "market-assessment", "type": "clause", "offset": [599, 616]}, {"key": "needs-assessment", "type": "definition", "offset": [660, 676]}, {"key": "urban-capacity-study", "type": "clause", "offset": [679, 699]}, {"key": "settlement-boundary-review", "type": "clause", "offset": [702, 728]}, {"key": "employment-land", "type": "definition", "offset": [766, 781]}, {"key": "green-infrastructure", "type": "definition", "offset": [813, 833]}, {"key": "environmental-constraints", "type": "definition", "offset": [861, 886]}, {"key": "public-open-space", "type": "clause", "offset": [889, 906]}, {"key": "renewable-energy-assessment", "type": "clause", "offset": [920, 947]}, {"key": "transport-assessment", "type": "clause", "offset": [950, 970]}, {"key": "additional-evidence", "type": "clause", "offset": [1049, 1068]}, {"key": "given-that", "type": "clause", "offset": [1131, 1141]}, {"key": "local-authorities", "type": "definition", "offset": [1154, 1171]}, {"key": "south-east", "type": "definition", "offset": [1179, 1189]}, {"key": "revised-plans", "type": "clause", "offset": [1222, 1235]}, {"key": "the-council-will", "type": "clause", "offset": [1237, 1253]}, {"key": "joint-commissioning", "type": "definition", "offset": [1297, 1316]}], "hash": "8d1083db7a43e03c7e777c0427624e51", "id": 4}, {"samples": [{"hash": "dsEXu2nGZlV", "uri": "/contracts/dsEXu2nGZlV#evidence-base", "label": "NHS Standard Contract", "score": 18.3076008701, "published": true}], "size": 2, "snippet": "The National Stroke Strategy; \u2022 The Cochrane Review of ESD; \u2022 Royal College of Physicians Clinical Guidelines for Stroke 2008; \u2022 The National Sentinel Stroke Audits; \u2022 The National Service Framework for Older People Standard 5; \u2022 The Accelerated Stroke Programme; \u2022 Revised ESD Consensus Statement prepared by Prof. \u2587\u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587\u2587 and Dr \u2587\u2587\u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587\u2587 of the Collaborative Leadership and Research in Health Care (CLAHRC), for NDL; \u2022 Evaluation tool to assess the implementation and effectiveness of ESD in practice in rural and mixed settings developed by Collaborative Leadership and Research in Health Care (CLAHRC), for NDL; \u2022 The East Midlands Public Health Observatory (EMPHO) previous and future demand modelling;\n2. Scope 2.1 Aims and objectives of service \u2022 Eligible patients will have access to ESD to give the best possible outcomes for the patients and allow local NHS providers and commissioners to use resources effectively within the health economy. \u2022 To ensure a whole system approach that raises standards across the whole stroke pathway by establishing a recommended model and limit point. \u2022 To establish a recommended model for ESD services across the East Midlands to include specialist stroke multidisciplinary teams, who will support stroke patients on discharge from acute care to their place of residence in order to fulfil identified achievable measureable and agreed rehabilitation goals, and offer support and guidance to their carers and families. In most instances this will occur in a time limited framework. The team will signpost, or transfer to relevant NHS, Social Service and voluntary sector services for ongoing support. \u2022 To show a reduction in length of hospital stay, thereby increase the proportion of patients spending at least 90% of their time on a stroke unit. \u2022 To ensure timely discharge of all eligible stroke patients. \u2022 To ensure equity of access to an ESD. \u2022 To reduce hospital re-admission rates. \u2022 To reduce premature admission into long term care.", "snippet_links": [{"key": "the-national", "type": "clause", "offset": [0, 12]}, {"key": "review-of", "type": "clause", "offset": [45, 54]}, {"key": "royal-college", "type": "definition", "offset": [62, 75]}, {"key": "guidelines-for", "type": "clause", "offset": [99, 113]}, {"key": "national-service", "type": "clause", "offset": [172, 188]}, {"key": "older-people", "type": "clause", "offset": [203, 215]}, {"key": "standard-5", "type": "definition", "offset": [216, 226]}, {"key": "consensus-statement", "type": "definition", "offset": [278, 297]}, {"key": "prepared-by", "type": "definition", "offset": [298, 309]}, {"key": "collaborative-leadership", "type": "clause", "offset": [359, 383]}, {"key": "in-health-care", "type": "clause", "offset": [397, 411]}, {"key": "evaluation-tool", "type": "definition", "offset": [433, 448]}, {"key": "in-practice", "type": "clause", "offset": [503, 514]}, {"key": "public-health", "type": "definition", "offset": [648, 661]}, {"key": "aims-and-objectives-of-service", "type": "clause", "offset": [733, 763]}, {"key": "eligible-patients", "type": "definition", "offset": [766, 783]}, {"key": "access-to", "type": "definition", "offset": [794, 803]}, {"key": "possible-outcomes", "type": "definition", "offset": [825, 842]}, {"key": "to-ensure", "type": "clause", "offset": [966, 975]}, {"key": "whole-system", "type": "clause", "offset": [978, 990]}, {"key": "to-establish", "type": "clause", "offset": [1109, 1121]}, {"key": "multidisciplinary-teams", "type": "definition", "offset": [1213, 1236]}, {"key": "acute-care", "type": "clause", "offset": [1289, 1299]}, {"key": "place-of-residence", "type": "clause", "offset": [1309, 1327]}, {"key": "in-order-to", "type": "clause", "offset": [1328, 1339]}, {"key": "support-and-guidance", "type": "clause", "offset": [1424, 1444]}, {"key": "time-limited", "type": "clause", "offset": [1514, 1526]}, {"key": "the-team", "type": "definition", "offset": [1538, 1546]}, {"key": "transfer-to", "type": "definition", "offset": [1565, 1576]}, {"key": "social-service", "type": "definition", "offset": [1591, 1605]}, {"key": "services-for", "type": "clause", "offset": [1627, 1639]}, {"key": "ongoing-support", "type": "clause", "offset": [1640, 1655]}, {"key": "length-of", "type": "clause", "offset": [1682, 1691]}, {"key": "hospital-stay", "type": "definition", "offset": [1692, 1705]}, {"key": "long-term-care", "type": "clause", "offset": [1985, 1999]}], "hash": "c962674de0a80561e36bbd1b4dd2e204", "id": 5}, {"samples": [{"hash": "gZw3J9ruJ8p", "uri": "/contracts/gZw3J9ruJ8p#evidence-base", "label": "Contract Relating to the Provision of Emergency Hormonal Contraception (Ehc) in Pharmacies", "score": 22.3880903491, "published": true}], "size": 2, "snippet": "There is strong evidence to support the use of EHCs to support women with pregnancy choices. Pharmacists must have the appropriate competency and have completed the self-declaration in order to deliver the EHC under the PGD. The must be familiar with and follow NICE, BASH and FSRH guidance relating to contraception and Sexual Health. BASH Home Page NICE Guidance on EHCs FSRH home page The service will be underpinned by the following A quality Standard for contraceptive services (FSRH, 2014) PH51 Contraceptive services with a focus on young people up to the age of 25 (NICE, 2014) A Framework for sexual Health Improvement in England (DH, 2013) Clinical governance in Sexual Health (DH, 2013) Service Standards for Sexual and Reproductive Healthcare (FSRH 2013) British HIV Association Standards of Care for People Living with HIV (BHIVA 2013) Clinical Guidance \u2013 Emergency Contraception (FSRH 2011) UK National Guideline on Safer Sex Advice (BASHH & BHIVA 2012) National Chlamydia Screening Programme Standards (6th Edition 2012) Recommended Standards for Sexual Health Services (MEDFASH 2005) NICE guidelines on prescribing. UKMEC Clinical Guidance for delivery of EHC by the FSRH MHRA Guidance 1.3 General Overview Spectrum Community Health CIC has been awarded the contract to deliver an Integrated Sexual Health Service for Barnsley until April 2019. Spectrum is integrating the GUM and CASH elements of the service and is putting greater focus on prevention of STIs and unintended conceptions. To bring this into practice we are managing and leading a service transformation which requires a change in the model for sexual health provision in Barnsley. Spectrum is delivering an integrated sexual health service with an increase in both the capacity for, and the impact of, the prevention element of the service. Spectrum is investing in dual training of clinical staff to deliver integrated holistic sexual health services in multiple locations .Spectrum uses various methods to increase access to sexual health services for targeted high risk groups. Spectrum is investing in a programme of education and support in schools and other non-school settings, incorporating innovative delivery methods. The service model will promote pro-active outreach work and deliver a one-stop-shop model offering choice to reach all target groups. Spectrums 3 criteria for delivering the Pharmacies EHC element of the service; The service offer will be high quality, integrating contraception needs with STI prevention, open to all but also targeted at areas and groups at higher risk of STIs and unintended pregnancy. The pharmacy will preferably have extended opening hours (late nights and weekends). 1/ High Quality: Competent pharmacist providing full choice of contraceptive methods: All pharmacists delivering the Spectrum EHC scheme must have relevant in date documentation (self-declaration) to enable them to deliver the EHC. Pharmacists will be expected to evidence CPPE training (through DH) in order to deliver EHC. Difficult cases can be discussed with the clinical team within ISHS. Spectrum will also support the professional development of all relevant practitioners and organisations in Sexual Health through guidance, professional network and sharing best practice. Spectrum will also deliver access to EHC through the main hub and a number of community spokes. Each individual pharmacist providing the service must: Complete the Declaration of Competence (DoC) for EHC process (at least every 3 years). This should be returned to Spectrum when signed documentation entering in to this scheme is returned. \u2587\u2587\u2587.\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587/\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587/\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587-\u2587\u2587-\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587 It is the duty of the pharmacy commissioned to provide the sexual health (EHC) service to ensure that all individual pharmacists delivering this service from their premises are: \u2022 Fit to Practise \u2022 Suitable to deliver the service \u2022 Can demonstrate they are competent to deliver the service Asking for copies of the Declaration of Competencies (DoC) from all pharmacists who provide the service from within your pharmacy can be a mechanism of ensuring that as a pharmacy contractor you can demonstrate that the pharmacists providing the service are competent to deliver the EHC service. The commissioner may request from a pharmacy copies of the DoC for each pharmacist who has supplied EHC under this service. 2/ Integrated Service Delivery: STI risk discussion, and access to condoms for under 25yr olds, at the same time as the EHC discussion. Pharmacies in the Spectrum EHC Scheme will as appropriate discuss STI risk and risk reduction, and provide condoms. They will ask the patient for consent for a follow up phone call from ISHS to ensure that the care plan is complete, and the patient has provision for more appropriate contraception and any STI needs are met. 3/ Targeted: To geographical areas of high need as evidenced by the sexual health intelligence data and information.", "snippet_links": [{"key": "strong-evidence", "type": "definition", "offset": [9, 24]}, {"key": "in-order-to", "type": "clause", "offset": [182, 193]}, {"key": "relating-to", "type": "definition", "offset": [291, 302]}, {"key": "home-page", "type": "clause", "offset": [341, 350]}, {"key": "underpinned-by", "type": "definition", "offset": [408, 422]}, {"key": "quality-standard", "type": "clause", "offset": [439, 455]}, {"key": "young-people", "type": "clause", "offset": [540, 552]}, {"key": "health-improvement", "type": "clause", "offset": [609, 627]}, {"key": "clinical-governance", "type": "clause", "offset": [650, 669]}, {"key": "service-standards", "type": "clause", "offset": [698, 715]}, {"key": "standards-of-care", "type": "definition", "offset": [791, 808]}, {"key": "living-with", "type": "definition", "offset": [820, 831]}, {"key": "emergency-contraception", "type": "clause", "offset": [869, 892]}, {"key": "uk-national", "type": "definition", "offset": [905, 916]}, {"key": "chlamydia-screening", "type": "clause", "offset": [977, 996]}, {"key": "recommended-standards", "type": "definition", "offset": [1036, 1057]}, {"key": "health-services", "type": "definition", "offset": [1069, 1084]}, {"key": "nice-guidelines", "type": "clause", "offset": [1100, 1115]}, {"key": "delivery-of", "type": "clause", "offset": [1160, 1171]}, {"key": "general-overview", "type": "clause", "offset": [1206, 1222]}, {"key": "community-health", "type": "clause", "offset": [1232, 1248]}, {"key": "the-contract", "type": "definition", "offset": [1270, 1282]}, {"key": "april-2019", "type": "clause", "offset": [1349, 1359]}, {"key": "focus-on-prevention", "type": "clause", "offset": [1449, 1468]}, {"key": "a-change-in", "type": "definition", "offset": [1601, 1612]}, {"key": "the-model", "type": "clause", "offset": [1613, 1622]}, {"key": "health-provision", "type": "definition", "offset": [1634, 1650]}, {"key": "clinical-staff", "type": "definition", "offset": [1866, 1880]}, {"key": "multiple-locations", "type": "clause", "offset": [1938, 1956]}, {"key": "access-to", "type": "definition", "offset": [2000, 2009]}, {"key": "services-for", "type": "clause", "offset": [2024, 2036]}, {"key": "high-risk", "type": "clause", "offset": [2046, 2055]}, {"key": "and-support", "type": "clause", "offset": [2114, 2125]}, {"key": "other-non", "type": "clause", "offset": [2141, 2150]}, {"key": "delivery-methods", "type": "clause", "offset": [2193, 2209]}, {"key": "service-model", "type": "clause", "offset": [2215, 2228]}, {"key": "work-and", "type": "clause", "offset": [2262, 2270]}, {"key": "target-groups", "type": "clause", "offset": [2330, 2343]}, {"key": "service-offer", "type": "definition", "offset": [2428, 2441]}, {"key": "high-quality", "type": "clause", "offset": [2450, 2462]}, {"key": "unintended-pregnancy", "type": "definition", "offset": [2594, 2614]}, {"key": "opening-hours", "type": "clause", "offset": [2659, 2672]}, {"key": "nights-and-weekends", "type": "clause", "offset": [2679, 2698]}, {"key": "contraceptive-methods", "type": "clause", "offset": [2764, 2785]}, {"key": "in-date", "type": "clause", "offset": [2857, 2864]}, {"key": "development-of", "type": "clause", "offset": [3139, 3153]}, {"key": "best-practice", "type": "clause", "offset": [3267, 3280]}, {"key": "number-of-community", "type": "clause", "offset": [3350, 3369]}, {"key": "providing-the-service", "type": "clause", "offset": [3405, 3426]}, {"key": "complete-the", "type": "clause", "offset": [3433, 3445]}, {"key": "duty-of", "type": "clause", "offset": [3682, 3689]}, {"key": "provide-the", "type": "clause", "offset": [3719, 3730]}, {"key": "to-ensure", "type": "clause", "offset": [3759, 3768]}, {"key": "copies-of-the", "type": "clause", "offset": [3973, 3986]}, {"key": "your-pharmacy", "type": "clause", "offset": [4078, 4091]}, {"key": "the-commissioner", "type": "clause", "offset": [4258, 4274]}, {"key": "integrated-service-delivery", "type": "clause", "offset": [4385, 4412]}, {"key": "risk-reduction", "type": "clause", "offset": [4597, 4611]}, {"key": "care-plan", "type": "definition", "offset": [4728, 4737]}, {"key": "geographical-areas", "type": "definition", "offset": [4859, 4877]}, {"key": "high-need", "type": "definition", "offset": [4881, 4890]}, {"key": "data-and-information", "type": "definition", "offset": [4938, 4958]}], "hash": "94ea2f49b8ad3e2ab2378212ef88a76b", "id": 6}, {"samples": [{"hash": "93u3g9fOW0U", "uri": "/contracts/93u3g9fOW0U#evidence-base", "label": "NHS Standard Contract", "score": 25.2056123042, "published": true}], "size": 1, "snippet": "This specification draws its evidence and rationale from a range of documents and reviews as listed below: \u2022 Improving Outcomes; a Strategy for Cancer \u2013 Department of Health (2011) \u2022 Cancer Commissioning Guidance - Department of Health (2011) \u2022 Five year forward view - Department of Health (2014) \u2022 Report of the Independent Cancer Taskforce - \u2018Achieving World-Class Cancer Outcomes: A Strategy for the NHS 2015-2020\u2019", "snippet_links": [{"key": "of-documents", "type": "clause", "offset": [65, 77]}, {"key": "listed-below", "type": "clause", "offset": [93, 105]}, {"key": "department-of-health", "type": "definition", "offset": [153, 173]}, {"key": "the-independent", "type": "clause", "offset": [310, 325]}], "hash": "6a0a2f44e0b7e78841c007baf5c683bf", "id": 7}, {"samples": [{"hash": "cT2y5paHpdc", "uri": "/contracts/cT2y5paHpdc#evidence-base", "label": "Service Level Agreement", "score": 17.0, "published": true}], "size": 1, "snippet": "Vide supra\n4. THE REQUIREMENTS", "snippet_links": [{"key": "the-requirements", "type": "clause", "offset": [14, 30]}], "hash": "d4a0057fcef11007332a08fb99d8b024", "id": 8}, {"samples": [{"hash": "iVFl3gMVpqQ", "uri": "/contracts/iVFl3gMVpqQ#evidence-base", "label": "Grant Agreement", "score": 24.3921971253, "published": true}], "size": 1, "snippet": "Promoting the health and wellbeing of pupils not only has the potential to improve their health and wellbeing outcomes, but also their educational outcomes. For example, children and young people who are aerobically fit have been found to have higher academic scores, with the intensity and duration of exercise both linked to improved academic performance, including GCSE results at age 15 and notably girls results in science8. Robust evidence shows that interventions taking a \u2018whole school\u2019 approach have a positive impact in relation to a range of health improvement outcomes, to include body mass index, physical activity, physical fitness, fruit and vegetable intake, tobacco use, and being bullied9. A whole school approach is one that goes beyond the learning and teaching in the classroom to pervade all aspects of the life of a school including: Leadership, management and managing change Policy development Curriculum planning and resources, including working with outside agencies Learning and teaching School culture and environment Giving children and young people a voice Provision of support services for children and young people Staff professional development needs, health and welfare Partnerships with parents, carers and local communities Assessing, recording and reporting children and young people\u2019s achievement With specific reference is addressing obesity, evidence highlights the effectiveness of multi-component interventions in schools focused on improving both diet and physical activity, including: specialised educational curricula, trained teachers, supportive school policies, a formal PE program, healthy food and beverage options, and a parental/family component. Evidence highlights the effectiveness of multi-component interventions in schools focused on improving both diet and physical activity, including: specialised educational curricula, trained teachers, supportive school policies, a formal PE program, healthy food and beverage options, and a parental/family component 101112. For example, Waters et al13 found strong evidence to support the beneficial effects of child obesity prevention programmes on BMI, particularly for programmes targeting children aged six to 12 years. Whilst it is not easy to determine those programme components which are most effective, this review highlighted the following as promising policies and strategies: school curriculum that includes healthy eating, physical activity and body image increased sessions for physical activity and the development of fundamental movement skills throughout the school week improvements in nutritional quality of the food supply in schools environments and cultural practices that support children eating healthier foods and being active throughout each day support for teachers and other staff to implement health promotion strategies and activities (e.g. professional development, capacity building activities) parent support and home activities that encourage children to be more active, eat more nutritious foods and spend less time in screen based activities In relation to physical activity specifically, eight principles for practice have been drawn from an recent appraisal of the evidence by Public Health England about what works in schools and colleges to increase levels of physical activity among children and young people. These include the delivery of multi-component programmes (that adopt a whole of community approach), ensuring a skilled workforce, engaging student voice, creating active environments, offering choice and variety, embedding physical activity across the wider curriculum, promoting active travel, and embedding monitoring and evaluation. For example, increasing the amount of time spent being physically active during PE and other lessons can improve both physical development, educational outcomes and emotional development14. Schools/colleges to produce a school health profile and health improvement action plan, using identified support and resources within 12 months of receiving their health improvement Grant Schools/colleges to submit a full grant expenditure proposal on how their health improvement Grant will be spent (agreed with ESCC Public Health prior to spending the resource) Schools/colleges to use their health improvement Grant to primarily fund interventions/approaches that focus on addressing childhood obesity in line with recommendations of the forthcoming National Childhood Obesity Strategy Schools/colleges to use their grant to address an identified need within their school health profile (particularly in those instances where proposed expenditure does not relate to addressing childhood obesity) Schools/colleges to use their grant to fund health improvement activities/approaches that are evidence based, support delivery of a whole school/setting approach and have a focus on primary prevention Schools/colleges to deliver interventions/approaches using their health improvement Grant and evaluate the impact and outcomes of this activity on the health and wellbeing of the school/college community Schools/colleges to share details of the impact and outcomes of health improvement Grant expenditure activity with ESCC Public Health, alongside records of how their health improvement Grant has been spent.", "snippet_links": [{"key": "health-and-wellbeing", "type": "clause", "offset": [14, 34]}, {"key": "educational-outcomes", "type": "definition", "offset": [135, 155]}, {"key": "for-example", "type": "definition", "offset": [157, 168]}, {"key": "children-and-young-people", "type": "clause", "offset": [170, 195]}, {"key": "duration-of", "type": "definition", "offset": [291, 302]}, {"key": "academic-performance", "type": "clause", "offset": [336, 356]}, {"key": "in-relation-to", "type": "clause", "offset": [527, 541]}, {"key": "health-improvement", "type": "clause", "offset": [553, 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